Individual
JINWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 PIERMONT RD STE A7, CLOSTER, NJ 07624-3100
(201) 913-5130
Mailing address
174 DRUID AVE, DUMONT, NJ 07628-1932
(201) 913-5130
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00141100
NJ
171100000X
Acupuncturist
6441
NY
Other
Enumeration date
12/03/2018
Last updated
07/12/2020
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